Surgical appliance



Dec. 17, 1935. R* R NORWOQD l 2,024,301

SURGICAL APPLIANCE vFiled Sept. 2l, i934 Snom/LTO@ Patented Dec. 17, 1935 UNITED Sfmt .es

SURGICAL APPLIANCE Robert R; Noi-wood', Mineral Wells, Tex;

Applicationf September- 21, 1934, SeriallNo. 7443974 I Claim.

This invention aimsto provide a. novell means for retaining and healing a replaced anal!` protrusion, for stopping internalv hemorrhage' adja-v cent to the anus, for treating prostatic andV other disorders wherein the applicationy of heat is indicated, and for other and similar purposes, which will suggest themselves readily to doctors of physio orsurgery. A further object ofthe inventi'onis` to provide novel means for distending, iilling` and emptying a resilient sack which forms part of the device. Another object of theinventionis to provide novel means whereby an outlet for gas and feoal'matter is available, duringthe'` tiniethat the instrument hereinafter explainedis ini place and in use. The device is characterized,u fiurther, by useful andp'atentably novel structural features which will be made manifest'hereinafter.

It is within the province: of thev disclosure-to improve generally andto enhanoetheutilityf ofdevioes of that type to which theinvention apper A tains.

With Ythe above and-other objectsinview, which@` will appear as the description proceedsthe irivention resides in the combination@aridiarrange#v ment of parts and in the details ofcons'tructiom hereinafter described and claimed, it being'f-u-nder stood that changes in the precisey embodiment7` of the invention herein disclosed`,n'iay be made within the scope of what is claimed, withoutdeparti-` ing from the spirit of the invention.

The drawing shows asatisfactory material em'-Y bodiment of the invention, and in'` thisidrawingg Fig. 1- isalongitudinal section, parts being in elevation; I

Fig. 2 is a side elevation wherein sundry parts are broken away or shown in section;

Fig. 3 is a transverse section .on the line 3-3 of Fig. 1.

Saving as otherwise specified, the device forming the subject matter of this application is made of metal, or some other substance having the necessary rigidity and capable of being maintained in a sterile condition. 'Ihe instrument embodies a stem, which, as a whole, is marked by the numeral I. The stem I may comprise an outer tube 2, of iiattened or approximately elliptical cross section. A base plate 3 is secured to one end of the outer tube 2. The base plate 3 preferably is of elliptical outline (Fig. 3), and is concavo-convex from side to side (Fig. 2) At its distal end, the outer tube 2 has a thickened head 4, which outstands a little beyond the periphery of the tube 2. An inner tube 5, preferably of circular cross section, is located within the outer tube 2 and is connected, as shown at 6, to the sides of-y the' tube 2L The: steml Ii, as to-d'etail'ed structure, mightbe made-otherwise thanl-asi de'- scribed. The bore 1 of the inner tube 5forms1a= straight drainagev conduit, the said' tube being extendedA backwardly, as shown at I1, beyond` 5 the base plate 3f' (Fig.A 1).

The inner tube 5 is mounted in and extendsforwardly a little way beyond theA head 4 off the outer tube 2, as shown at.V 23. The space between,` the inner tube 5 and onef side of. thew outer`r tube 10 2 (Fig. 3)'v constitutes' ani inletconduit 8i Thev space between the inner tube 5 and-'- the opposite'v side of the outer tube 2" constitutes an.'` outlet conduit 9. A short length` I!) of rigid pipe 'is secured tofthe basal end of the outer tube 2fand l5 constitutes a continuation of the'. inlet conduit 8.

A valve II, under the control of an operator, is assembled with the pipe III, and a pieceio'f lflexible tubing I2, of any desired length, mayfbec'onnected to the valve II.` Ashort length f4 of 20 rigid pipe is secured tothe basal end of' the'outer tube 2 and-constitutesa continuation ofthe outlet conduit 9. A valve I5, under the control of an operator, is assembled' with ther pipe I4, and a piece of flexible tubingi I6, of any desired length,l 2 may be connected to the valve I5. The pipes. IJ)k and I 4 diverge lengthwise of the base plate`v 3 (Fig. 1) andthe end' I'I of'theinner tube 5 is located between them. The end I1 of thevinner tube-'5'is provided witha valve |81, under'ther'controlI of an operator, and to the valve I8fa length I9'of' tubing may be'connected. The parts- I'4", |15'- and: IO arer disposed-tothe rear of thel base-'plateey 3'..

The numeral designates a resilient sack, preferably made of rubber, and pear-shaped gennerally speaking. In the distal or wider end of the sack 20 there is an opening 2|. A washer 22 of cloth of the like is placed about the projecting end 23 of the inner tube 5 and rests against the head 4 of the outer tube 2. The open, projecting end 23 of the inner tube 5 is thrust through the opening 2| in the sack 20, the wider end of the sack being in contact with the washer 22. A washer 24, of cloth or the like, is placed about the end 23 of the inner tube 5 and engages the outer surface of the sack 20. A rigid washer 25 is placed on the end 23 of the inner tube 5 and engages the flexible washer 24. Finally, a nut 26 is threaded on the end 23 of the inner tube 5 and 50 engages the washer 25. 'Ihe wider end of the sack 20 thus is bound against the head 4 of the outer tube 2, but there is no tearing of the sack 20, when the nut 26 is tightened, the flexible washers 22 and 24 preventing such a contingency. 55

the tube 2, the part 21 being called a guard because. it has anoce in preventing heat in the stem I from finding its way outwardly, and making the appliance uncomfortably hot for the patient. The outward-conducting of the heat, how ever, is limited more particularly by an external shield 28, disposed about the reduced end or neck of the sack 20. The shield 28 may be simply a length of surgeons gauze, wound about the neck of the sack 20. The construction is such that neither the base plate 3 nor the inner ,end of the tube 2 will cause the patient discomfort, it being well known that anal and buttock parts are somewhat sensitive to heat. The reduced end of the sack 20 may be secured in place in any desired way, for instance by binding a length of soft cord 29 about it tightly before the shield 28 is applied.

Near to its outer end, the outer tube 2 has openings 30, preferably in the form of transverse slits, the same constituting ports through which the fluid in the inlet conduit 8 can nd its way into the sack 2D. The uid leaves the sack 20 through similar openings 3| in the tub-e 2 near to the inner end thereof, the last-mentioned openings constituting ports communicating with the outlet conduit 9.

Since this specification is addressed to a person skilled in the art, and since something must be accredited to the technique of the operator, all possible uses of the device need not be gone into with elaborate detail. The instrument may be used to retain a rectal protrusion, after the same has been replaced. It may be used to check hemorrhage in the rectal ampulla. It may be employed to apply heat, when heat treatment is indicated in connection with prostatic and similar glandular disorders.

After the instrument has been properly located, the sack 20 may be distended as much as desired, by introducing a fluid, such as air or water, into it; and if a heat treatment is indicated, hot water may be used. The fluid enters the sack E by way of the tubing I2, the pipe I0, the inlet conduit 8 and the ports 30. The fluid leaves the sack 20 by way of the ports 3|, the outlet conduit 9, the pipe I4 and the tubing I6. After the sack 20 has been lled and distended, the valves I I and I5 may be closed, and the instru- 5 ment may be left in place as long as desired. 1f the operator wishes, he can obtain a continuous ilow of the heating medium by leaving the valves H and I5 open. If he desires a continuous ow of the heating medium, coupled with a distention of the sack 20, this .can be accomplished by regulating the amount that the valves vII and I5 are opened relatively to each other.

In treating pathological conditions to which the present invention ministers, it has been diflicult heretoforeto maintain heat and pressure for the necessary length of time, because when a high temperature, say 130 degrees F. is maintained, there is an irresistible impulse toward the evacuation of gas or fecal matter. When the device herein disclosed is used, heat can be maintained as long as desired, and evacuation at the same time, may be permitted. All that the operator has to do is to open the valve I8, and then the inner tube 5 forms a passage for the escape of the 25 gas or ordure which is to be-voided. There is, therefor, no reason why the instrument cannot remain in place long enough to reap the benets of long-applied heat, or to effect, through a longcontinued distention of the sack 20, a control of rectal hemorrhage.

What is claimed is:

A device for treating rectal procidentia and prostatic and similar glandular disorders, and for controlling hemorrhage in the rectal ampulla, comprising a stem having a drainage conduit for fecal matter, extended through the stem from end to end, a resilient sack connected at its ends to the stem, the stem having an inlet conduit and an outlet conduit, each provided with a port communicating with the sack, and each embodying a tubular part extended out of the sack, the drainage conduit also comprising a tubular part extended out of the sack, a transverse base plate located between said tubular parts and the sack and securedto the stem, a heat-retarding grip and guard disposed adjacent to the base plate and within the inner end of the sack, a heatretarding shield disposed adjacent to the base plate and engaged outside the inner end of the sack, and means for holding the inner end of the sack on the grip and guard.

ROBERT R. NORWOOD. 

